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Ⅲ期进展性晶状体后纤维增生症的视觉预后及治疗效果

Visual outcome and effect of treatment in stage III developing retrolental fibroplasia.

作者信息

Keith C G

出版信息

Br J Ophthalmol. 1982 Jul;66(7):446-9. doi: 10.1136/bjo.66.7.446.

Abstract

Forty-five babies were seen with retrolental fibroplasia (RLF) stage III or more, that is, with a large vasoformative ridge protruding into the vitreous cavity. Thirty-four attended for follow-up, but subsequently 6 died. Of the remainder 12 had satisfactory vision, 3 unilateral and 8 bilateral high myopia, 3 were totally blind, and 2 were partially blind. It was found that stage III RLF could be subdivided according to its severity. Early stage III had a good prognosis, with 11 out of 18 achieving satisfactory vision, but only one out of 16 in RLF stage IIIa or more. Cryothermy was applied to 9 babies in the latter group, but it did not seem to influence the final outcome.

摘要

有45名婴儿被诊断患有三期或更严重的晶状体后纤维增生症(RLF),即有一个大的血管形成嵴突入玻璃体腔。34名婴儿前来接受随访,但随后有6名死亡。其余的婴儿中,12名视力良好,3名单侧高度近视,8名双侧高度近视,3名完全失明,2名部分失明。研究发现,三期RLF可根据其严重程度进一步细分。早期三期预后良好,18名中有11名视力令人满意,但在三期a或更严重的RLF中,16名中只有1名视力令人满意。对后一组中的9名婴儿进行了冷冻治疗,但这似乎并未影响最终结果。

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